# BROUSSARDS PHARMACY OF NEW IBERIA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BROUSSARDS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376622043
- **Authorized official:** NELSON STELLY RPHRM (OWNER)
- **Authorized official phone:** (337) 364-2381

## Contact information

- **Practice address:** 600 W SAINT PETER ST, NEW IBERIA, LA 70560-3633
- **Practice address phone:** (337) 364-2381
- **Practice address fax:** (337) 364-2386
- **Mailing address:** 600 W SAINT PETER ST, NEW IBERIA, LA 70560-3633
- **Mailing address phone:** (337) 364-2381
- **Mailing address fax:** (337) 364-2386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY005308-IR | LA | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 08/31/2011
